目的研究乳腺癌改良根治术后腹部皮瓣乳房再造临床效果及安全性。方法 36例乳腺癌改良根治术后患者行腹部皮瓣乳房再造术,且手术后全部病例均给予常规综合治疗。结果 36例患者均手术成功。未发生1例切口疝形成、组织坏死、感染及皮下积液等。乳房外观美容效果,优:27例,良:8例,差:1例。手术成功率97.2%。结论乳腺癌改良根治术后行腹部皮瓣乳房再造术,临床疗效确切,术后恢复快,创伤小,美容效果满意,值得推广应用。 Objective To study the clinical effect and safety of abdominal flap breast reconstruction after modified radical mastectomy for breast cancer. Methods Thirty-six patients with modified radical mastectomy underwent modified breast flap surgery and all the cases were given conventional treatment. Results All the 36 patients were operated successfully. 1 case of incisional hernia did not occur, tissue necrosis, infection and subcutaneous fluid. Breast cosmetic appearance, excellent: 27 cases, good: 8 cases, poor: 1 case. Surgical success rate was 97.2%. Conclusions Modified radical mastectomy for breast cancer with abdominal skin flap breast reconstruction has definite curative effect, rapid recovery after operation, small trauma and satisfactory cosmetic effect. It is worth popularizing and applying.